2015
Emergency department presentation, admission, and surgical intervention for colonic diverticulitis in the United States
Schneider E, Singh A, Sung J, Hassid B, Selvarajah S, Fang S, Efron J, Lidor A. Emergency department presentation, admission, and surgical intervention for colonic diverticulitis in the United States. The American Journal Of Surgery 2015, 210: 404-407. PMID: 26002192, DOI: 10.1016/j.amjsurg.2014.12.050.Peer-Reviewed Original ResearchConceptsED patientsSurgical interventionColonic diverticulitisUnderwent surgeryED visitsEmergency departmentNationwide Emergency Department SampleEmergency department presentationsEmergency Department SampleHospital mortalityPatient agePatients 65Inpatient admissionsPrimary diagnosisDiverticulitisOutpatient servicesGreater oddsPatientsAdmissionInterventionSurgeryVisitsFuture studiesYearsColectomyOutcomes after emergency general surgery at teaching versus nonteaching hospitals
Zafar S, Shah A, Hashmi Z, Efron D, Haut E, Schneider E, Schwartz D, Velopulos C, Cornwell E, Haider A. Outcomes after emergency general surgery at teaching versus nonteaching hospitals. Journal Of Trauma And Acute Care Surgery 2015, 78: 69-77. PMID: 25539205, DOI: 10.1097/ta.0000000000000493.Peer-Reviewed Original ResearchMeSH KeywordsAcute DiseaseAdolescentAdultAgedAged, 80 and overComorbidityEmergency TreatmentFemaleGeneral SurgeryHospital CostsHospital MortalityHospitals, TeachingHumansLength of StayMaleMiddle AgedOutcome and Process Assessment, Health CarePostoperative ComplicationsPropensity ScoreQuality of Health CareRetrospective StudiesSeverity of Illness IndexUnited StatesConceptsLength of stayHospital costsMajor complicationsQuality of careTeaching hospitalEGS conditionsNonteaching hospitalsEmergency general surgery conditionsEffect estimatesEmergency general surgeryHospital-level factorsMajority of patientsNationwide Inpatient SampleHigher hospital costsSurgery of TraumaEmergency surgical conditionsStandardized differenceMultivariate regression analysisEGS volumeHospital mortalityOperative managementInpatient SampleSurgical conditionsWorse outcomesGeneral surgery
2014
Worse outcomes among uninsured general surgery patients: Does the need for an emergency operation explain these disparities?
Schwartz D, Hui X, Schneider E, Ali M, Canner J, Leeper W, Efron D, Haut E, Velopulos C, Pawlik T, Haider A. Worse outcomes among uninsured general surgery patients: Does the need for an emergency operation explain these disparities? Surgery 2014, 156: 345-351. PMID: 24953267, DOI: 10.1016/j.surg.2014.04.039.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultCross-Sectional StudiesEmergency TreatmentFemaleHealthcare DisparitiesHumansMaleMedicaidMedically UninsuredMedicareMiddle AgedOdds RatioPatient Protection and Affordable Care ActPostoperative ComplicationsRetrospective StudiesSurgical Procedures, OperativeTreatment OutcomeUnited StatesYoung AdultConceptsEmergent operative managementEmergent operationWorse outcomesOperative managementNationwide Inpatient Sample 2005Retrospective cross-sectional analysisGeneral surgery patientsUrgency of operationGreater odds ratioHealth care accessCross-sectional analysisCovariates of ageColorectal operationsPayor statusPostoperative complicationsComplication rateSurgery patientsYounger patientsHispanic patientsMore complicationsInsurance statusOdds ratioUninsured groupCare accessPatients
2011
Global Surgical Package Reimbursement and the Acute Care Surgeon: A Threat to Optimal Care
Schneider E, Haider A, Lidor A, Efron J, Villegas C, Stevens K, Hirani S, Haut E, Efron D. Global Surgical Package Reimbursement and the Acute Care Surgeon: A Threat to Optimal Care. Journal Of Trauma And Acute Care Surgery 2011, 70: 583-589. PMID: 21610346, DOI: 10.1097/ta.0b013e3182098a30.Peer-Reviewed Original ResearchConceptsLength of stayElective right hemicolectomyEmergency surgical patientsElective patientsRight hemicolectomyEmergent patientsInhospital mortalityGreater comorbiditySurgical patientsOptimal careNationwide Inpatient Sample dataAcute care surgery serviceEmergent right hemicolectomyPatient LOSAcute care surgeonsEmergency surgery patientsHigher mortality riskMann-Whitney testSurgery patientsSurgery serviceInpatient admissionsInsurance statusMortality riskMultivariable regressionGreater odds